Timing of Coverage

Many have written on the optimal timing of free tissue transfer. It has been proven by large series of free flap coverage of extremity defects that the morbidity, infection, number of flap failures, time for bone healing, number of operative procedures and length of hospital stay all rise precipitously if wound coverage is delayed beyond the early stage when there is no tissue fibrosis or tendency for vascular

Fig. 7.4. D) Arteriography demonstrating the deep circumflex iliac artery.

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